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Individual

MS. DEA DENISE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
417 PARK LN, CHILLICOTHE, MO 64601-1550
(660) 646-3400
(660) 646-3410
Mailing address
417 PARK LN, CHILLICOTHE, MO 64601-1550
(660) 646-3400
(660) 646-3410

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
108529
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
249792037
MO
05
596074500
MO
Enumeration date
06/16/2005
Last updated
04/07/2009
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